Author Question: The nurse is working in a pediatric surgical unit. The nurse would expect that patient-controlled ... (Read 107 times)

rosent76 · **on:** Jun 28, 2018

The nurse is working in a pediatric surgical unit. The nurse would expect that patient-controlled analgesia would be most appropriate for which patient?

1. Twelve-year-old who is postoperative for spinal fusion for scoliosis
2. Ten-year-old who has a fractured femur and concussion from a bike accident
3. Five-year-old who is postoperative for tonsillectomy
4. Developmentally delayed 16-year-old who is postoperative for bone surgery.

Question 2

A five-year-old with a history of being treated for hypopituitarism comes to the physician with complaints of right hip and leg pain.

The nurse understands that this symptom might be related to which medication that is used to treat hypopituitarism? 1. Daily growth hormone
2. Insulin before meals and bedtime
3. DDAVP (desmopressin acetate) at HS
4. Cortisone injections

elyse44 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale 1: Patient-controlled analgesia is most appropriate in children five years old and older. The child must be able to press the button and understand that she will receive pain medicine by pushing the button.
Rationale 2: Children who have suffered head trauma would not be candidates for PCA.
Rationale 3: PCA generally is prescribed for clients who will be hospitalized for at least 48 hours.
Rationale 4: Children who are developmentally delayed would not be candidates for PCA.
Global Rationale:

Answer to Question 2

1
Rationale 1: Growth hormone injections and hypopituitarism have been associated with slipped capital femoral epiphysis, which manifests with complaints of hip or knee pain.
Rationale 2: Insulin is not used to treat hypopituitarism.
Rationale 3: DDAVP reduces urinary output. It does not cause slipped capital femoral epiphysis.
Rationale 4: Cortisone is not used for hypopituitarism.
Global